| Entity Name: | JESSICA K. MAHONEY, PSY.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Aug 2015 (9 years ago) |
| Document Number: | P15000072533 |
| FEI/EIN Number | 46-4424671 |
| Address: | 3457 BROOK CROSSING DR., BRANDON, FL, 33511, US |
| Mail Address: | 3457 BROOK CROSSING DR., BRANDON, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982073623 | 2015-09-23 | 2015-09-23 | 3457 BROOK CROSSING DR, BRANDON, FL, 335118181, US | 3457 BROOK CROSSING DR, BRANDON, FL, 335118181, US | |||||||||||||||||
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| Phone | +1 813-774-8852 |
Authorized person
| Name | DR. JESSICA MAHONEY |
| Role | PRESIDENT |
| Phone | 8137748852 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY9329 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MAHONEY JESSICA K | Agent | 3457 BROOK CROSSING DR., BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| MAHONEY JESSICA K | President | 3457 BROOK CROSSING DR., BRANDON, FL, 33511 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-01-31 |
| ANNUAL REPORT | 2019-03-01 |
| ANNUAL REPORT | 2018-03-23 |
| ANNUAL REPORT | 2017-03-19 |
| ANNUAL REPORT | 2016-04-23 |
| Domestic Profit | 2015-08-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
